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Sarafem
Uses
of Sarafem :
FLUOXETINE - ORAL
(flew-OX-eh-teen)
COMMON BRAND NAME(S)
Prozac, Sarafem
SARAFEM USES
Fluoxetine is used to treat depression, bulimia (an eating
disorder), obsessive compulsive disorders (OCD), and severe
symptoms of premenstrual syndrome (premenstrual dysphoric
disorder-PMDD). This medication works by helping to restore
the balance of certain natural chemicals in the brain.
SARAFEM OTHER USES
This medication has also been used to treat panic attacks,
obesity, and alcoholism.
HOW TO USE SARAFEM
Take this medication by mouth usually once daily in the morning,
with or without food; or as directed by your doctor. The dosage
is based on your medical condition and response to therapy.
Some medical conditions may require a different dosing schedule
(e.g., twice daily in the morning and at noon) as determined
by your doctor. Take this medication exactly as prescribed.
It is important to continue taking this medication even if
you feel well. Also, do not stop taking this medication without
consulting your doctor. It may take up to 4 weeks before the
full benefit of this drug takes effect.
SARAFEM SIDE EFFECTS
Nausea, headache, trouble sleeping, dry mouth, drowsiness,
sweating, or upset stomach may occur. If any of these effects
persist or worsen, notify your doctor promptly. Tell your
doctor immediately if any of these serious side effects occur:
loss of appetite, unusual weight loss, unusual or severe mental/mood
changes, uncontrolled movements (tremor), decreased interest
in sex, flu-like symptoms (e.g., chills, fever, muscle aches,
weakness). Tell your doctor immediately if any of these unlikely
but serious side effects occur: vision changes, trouble swallowing,
swelling or white spots on the mouth and/or tongue, changes
in sexual ability, painful and/or prolonged erection. Tell
your doctor immediately if any of these highly unlikely but
very serious side effects occur: fainting, irregular/fast
heartbeat. An allergic reaction to this drug is unlikely,
but seek immediate medical attention if it occurs. Symptoms
of an allergic reaction include: rash, itching, swelling,
dizziness, trouble breathing. If you notice other effects
not listed above, contact your doctor or pharmacist.
SARAFEM PRECAUTIONS
Tell your doctor your medical history, especially of: liver
problems, kidney disease, seizures, heart problems, diabetes,
any allergies. This drug may make you dizzy or drowsy; use
caution engaging in activities requiring alertness such as
driving or using machinery. Limit alcoholic beverages. Liquid
preparations of this product may contain sugar and/or small
amounts of alcohol. Caution is advised if you have diabetes,
alcohol dependence, or liver disease. Ask your doctor or pharmacist
about the safe use of this product. Caution is advised when
using this product in the elderly because they may be more
sensitive to the effects of the drug. This medication should
be used only when clearly needed during pregnancy. Discuss
the risks and benefits with your doctor. This drug passes
into breast milk. Because of the potential risk to the infant,
breast-feeding while using this drug is not recommended. Consult
your doctor before breast-feeding.
SARAFEM DRUG INTERACTIONS
Certain medications taken with this product could result in
serious, even fatal, drug interactions. Avoid taking MAO inhibitors
(e.g., furazolidone, isocarboxazid, linezolid, moclobemide,
phenelzine, procarbazine, selegiline, tranylcypromine) within
2 weeks, and avoid taking thioridazine within 5 weeks, before
or after treatment with this medication. Consult your doctor
or pharmacist for additional information. This drug is not
recommended for use with: weight loss medicine (e.g., sibutramine,
phentermine), thioridazine, terfenadine, astemizole. Ask your
doctor or pharmacist for more details. Tell your doctor of
all prescription and nonprescription medication you may use,
especially: other SSRI antidepressants (e.g., citalopram,
sertraline), nefazodone, trazodone, venlafaxine, "triptan"
migraine drugs (e.g., sumatriptan, zolmitriptan), tramadol,
tricyclic antidepressants (e.g., amitriptyline, nortriptyline),
flecainide, propafenone, haloperidol, clozapine, lithium,
tryptophan, "blood thinners" (e.g., warfarin), anti-seizure
drugs (e.g., carbamazepine, phenytoin/hydantoins), herbal/natural
products (e.g., St John's wort, ayahuasca). Tell your doctor
if you take any drugs that cause drowsiness such as: medicine
for sleep, tranquilizers, anti-anxiety drugs (e.g., alprazolam),
narcotic pain relievers (e.g., codeine), muscle relaxants,
psychiatric medicine (e.g., phenothiazines such as chlorpromazine),
certain antihistamines (e.g., diphenhydramine). Check the
labels on all your medicines (e.g., cough-and-cold products)
because they may contain drowsiness-causing ingredients. Ask
your pharmacist about the safe use of these products. Report
other drugs which affect the heart rhythm (QTc prolongation),
such as: dofetilide, pimozide, sotalol, quinidine, procainamide,
sparfloxacin, "water pills" (diuretics such as furosemide
or hydrochlorothiazide). Ask your doctor or pharmacist for
more details. Fluoxetine may affect the amount of glucose
(sugar) in your blood. If you take any anti-diabetes medication
(e.g., glipizide, glyburide, metformin), your dosage of these
drugs may need to be adjusted when fluoxetine is started or
discontinued. Consult your doctor. Do not start or stop any
medicine without doctor or pharmacist approval.
SARAFEM
OVERDOSE
If overdose is suspected, contact your local poison control
center or emergency room immediately. Symptoms of overdose
may include: irregular heartbeat, fainting, severe dizziness
or lightheadedness.
SARAFEM NOTES
Do not share this medication with others. Laboratory and/or
medical tests may be performed to monitor your progress.
MISSED DOSE
If you miss a dose, use it as soon as you remember. If it
is near the time of the next dose, skip the missed dose and
resume your usual dosing schedule. Do not double the dose
to catch up.
SARAFEM STORAGE
Store at room temperature between 59 and 86 degrees F (15
and 30 degrees C) away from light and moisture.
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